Comfort Eco XL - Blood pressure monitor Visomat - Free user manual and instructions

Frequently Asked Questions - Comfort Eco XL Visomat

USER MANUAL Comfort Eco XL Visomat

Instructions for use

(EN-29 - EN-55)

Mode d'emploi

(FR-56 - FR-82)

m = 311

m = 311

10. Pulsdruck

A Safety instructions

1. Important patient instructions 31
2. Important technical details 32

B Operating the unit

1. Unit description 34
2. Control displays 35
3. Important instructions for use 36
4. Initial operation of the unit 37
5. Inserting/replacing batteries 37
6. Activating and setting the date/time 38
7. Attaching the cuff 39
8. Measuring blood pressure 40
9. WHO traffic light function 41
10. Pulse pressure 42
11. Irregular pulse waves 42
12. Using the memory 43

C What you should know about blood pressure

1. Systolic and diastolic blood pressure values 45
2. Reasons for measuring different values 45
3. Why you should measure blood pressure regularly 45

D Technical information

1. Failure and error messages 46
2. Customer service 47
3. Technical data 47
4. Original spare parts and accessories 50
5. Metrological inspection 51

E General provisions

1. Explanation of symbols 52
2. Disposal 53

F Maintaining the unit 54

G Warranty 55

Introduction

Thank you for choosing the visomat® comfort eco upper arm blood pressure monitor (also referred to in the following as the unit).

This unit is recommended to patients with unstable blood pressure for measuring their blood pressure at home and for therapy support.

visomat® comfort eco uses the oscillometric method for measuring blood pressure and pulse rate on the upper arm.

The cuff is first placed as shown in the illustration on the cuff on the upper arm and then connected to the unit. When the Start/Stop button is pressed, the system starts to build up pressure automatically. Within a very short space of time the unit records the small oscillations within the cuff which occur owing to expansion and contraction of the arteries in the arm (heartbeat). The automatic build-up of pressure usually stops approx. 40 mmHg above the systolic value (fuzzy logic). Then the actual measurement process starts while the cuff is being deflated. The amplitude of each pressure wave is measured in millimetres of mercury (mmHg), converted and displayed in the LCD as a digital value.

As well as indicating systole, diastole and pulse, the unit offers a date/time function and additional displays for determining irregular pulses and pulse pressure. Irregular pulses may be an indication of an irregular heartbeat but also of restlessness during the measurement. Pulse pressure provides an indication of the stretchability of the blood vessels. A memory stores the last 60 measurement results in each case for comparison.

These instructions are intended to help the user to use the blood pressure monitor safely and efficiently manner and must be kept with the product and forwarded, if applicable.

The unit must be used in accordance with the procedures contained in these instructions and must not be used for other purposes. Please read these instructions carefully before using the unit.

EN-30

Safety instructions

A

1. Important patient instructions

• The unit is designed for non-invasive measurement of the systolic and diastolic blood pressure on the upper arm, as well as measurement of the pulse rate of adults, i.e. 15 years of age and older. Blood pressure measurements on children require specialist knowledge! Please consult your doctor if you wish to measure the blood pressure of a child. Do not under any circumstances use the unit on a baby/infant.
• The standard cuff supplied is designed for an upper arm circumference of 22-32 cm. A larger cuff (accessory Page EN-50) is optionally available for arm circumferences of 32-42 cm.
• The measurement results of automatically measuring blood pressure monitors may be falsified by pregnancy, irregular heartbeats, or arteriosclerosis. Measure your own blood pressure in cooperation with your doctor.
• Do not under any circumstances place the cuff on or over any critical point, e.g. wound, aneurysm, etc. Risk of injuries! The supply via an intravascular access (infusion) could possibly be interrupted.
• Make sure the air hose is not kinked. A kinked air hose can prevent the cuff from deflating and thereby interrupt the blood flow in the arm for too long.
• The unit contains small parts which could be swallowed by children. It should therefore be kept out of the reach of children at all times. The airhose poses a risk of strangulation. Please follow instructions regarding the handling of cuff to avoid such risk.
• If you have had a mastectomy, do not measure blood pressure on the side of the body where the breast has been removed together with the lymph nodes from the armpit.

EN-31

A

• Measuring your own blood pressure does not constitute treatment. Do not modify of you own accord the dosage of drugs/medication prescribed by your doctor.
• Please refer to the chapter "Important instructions for use" (Page EN-36) before conducting any measurements yourself.

2. Important technical details

- A constantly good power supply to the unit is necessary for trouble-free blood pressure measurements.

— Please use long-life alkaline batteries only (LR6).

– Always replace all batteries simultaneously during battery replacement.

- You will need 4 × 1.5 ~V batteries. Rechargeable batteries have a voltage of only 1.2 ~V and are thus not suitable.

- When using the unit with a mains adapter, please use the type A1 mains adapter specially tested for medical devices only.

- Make sure when operating the unit with the mains adapter that the unit can be disconnected from the mains power supply at all times.

- If the unit is not used for an extended period of time, please remove the batteries. Essentially, all batteries can leak.

• The unit must only be operated with original spare parts. The warranty will be invalidated if the unit is damaged by non-approved accessories!
• Using the unit in the immediate vicinity of mobile phones, microwave appliances or other devices with strong electromagnetic fields may result in impaired functioning. Maintain a minimum distance of 3 m from such devices when using this unit.
• The display of the pulse frequency is not suitable for checking the frequency of cardiac pacemakers. Cardiac pacemakers and blood pressure monitors do not influence each other regarding their mode of operation.

EN-32EN-33

Safety instructions Safety instructions

A

• Never open or modify the unit or the cuff - this is a medical device. (Exception: replacing batteries). If the unit has been opened, it must be subjected to a metrological inspection by an authorised institution.
  • The cuff may be inflated on the arm only.
• Please comply with the specified operating conditions for measurement. See Technical data, Page EN-47.
• The inflation and measuring procedure can be cancelled by pressing the Start/Stop button or by removing the cuff. In this case, the unit stops the inflation procedure and deflates the cuff.

B

1. Unit description
   

Cuff 11 2 1 3 2 6 5 4 5 7 8 9 10 27.32cm 27.32cm Vitamin E Type 102 CE 01.25

① Connecting socket for mains adapter
2 Display
3 Air socket/air connector
4 Memory button (memory recall button)
Start/Stop button

⑥ Battery compartment (removable battery compartment cover)
Cuff
⑧ Measurement arrow for arm circumference
9 Marking for arm circumference
10 Artery marking
Air hose

EN-34EN-35

Operating the unitOperating the unit

B

1. Control displays
   

8 TIME DATE No.88×88 7 M 888 6 888 5 188 4

SYS = Systole
DIA = Diastole
3 PUL 1/min = Pulse calculates pulse frequency per minute
4 Battery charge display

5 Pulse signal display or irregular pulse waves
⑥ WHO classification (Page EN-41)
7 Memory identifier
8 Memory location or date/time

Failure and error messages (Page EN-46) Err-1, -2, -3, -5

B

3. Important instructions for use

• Refrain from drinking alcoholic or caffeinated beverages and smoking at least one hour before measuring.
• Please rest at least 5 minutes before measuring. Depending on the previous degree of stress/exertion, this can even require up to one hour.
• Expose the upper arm, the clothes must not impair the blood flow in or from the arm as this influences the blood pressure at the measurement point.
  • Body posture must be relaxed:
• For this purpose, sit at a table (if possible the height of a dining table, not a coffee table!).
  — Rest your back against the backrest of the chair.
• Rest your forearm completely flat, with the palm of your hand facing upwards.
  — Place your feet on the floor and do not cross your legs.
• It is absolutely essential to sit still and remain quiet. Irregular movements, vibrations (shaking), talking and breathing heavily will affect and may even falsify the measurement. Look out for irregular pulse signals in the display; if necessary, repeat the measurement under more favourable conditions.
• Unusual measurement results are possible with all automatically measuring blood pressure measurement systems from time to time. Check yourself: did you comply with the instructions for use above? If necessary, repeat the measurement after allowing the blood circulation in the arm to recuperate briefly; rest for about 3-5 minutes for this purpose. Tip: Remain seated, your monitor will switch off automatically about 3 minutes after a measurement. Afterwards, we recommend that you repeat the measurement.
• Blood pressure is not a fixed value. It may fluctuate upwards or downwards by more than 20 mmHg on patients within a few minutes.

EN-36EN-37

Operating the unitOperating the unit

B

- In order to rule out differences between left and right and to obtain comparable measurement results, it is important always to take blood pressure measurements on the same arm. Ask your doctor which arm he/she recommends you take your measurements on.

4. Initial operation of the unit

Insert the supplied batteries into the unit.

If the unit is to be operated from the mains power supply, the cable plug of the mains adapter (not included in the scope of delivery) must be inserted into the connection socket of the unit. The batteries are switched off automatically.

Please use only the UEBE type A1 mains adapter. See original spare parts and accessories, Page EN-50.

5. Inserting/replacing batteries:

• Opening the battery compartment Remove the cover of the battery compartment on the underside of the unit.
• Inserting batteries Remove the old batteries from the unit and insert the new ones. Please observe proper polarity (marking in battery compartment).
• Closing the battery compartment Close the battery compartment by clipping the battery cover back into the unit.

When the display shows the "Flat battery □" symbol for the first time, the unit will still have enough charge for about 30 measurements. Please change the batteries during this period.

B

6. Activating and setting the date/time

The unit has a date/time function which you can activate where necessary. This function is deactivated when the unit is delivered.

Activating the date/time function

To activate the Date/Time function, press and hold down the Start/Stop button until the full display is shown, and also press the Memory button. The function can be deactivated again at any time in the same way.

Setting the date/time

The four-digit number representing the year appears in the display first (Fig. 1). Press the Memory button to set the year. Press the Start/Stop button to confirm the selected year and proceed to setting the date.

Set the month with the Memory button and confirm this with the Start/Stop button. Set the day, hours and minutes in the same way (Fig. 2, Fig. 3).

Changing the date/time

To change the date/time function, take out a battery and wait until the display goes blank. Now you can reactivate the date/time function and reset the date and time again.

Deactivating the date/time function

To deactivate the Date/Time function, press and hold down the Start/Stop button until the full display is shown, and also press the Memory button.

When the date/time function is activated, the time is also shown in the display when the unit is switched off.

Fig. 1

Fig. 2

Fig. 3

EN-38EN-39

Operating the unitOperating the unit

B

7. Attaching the cuff

• Expose the upper arm.
• Push the cuff onto the upper arm until the lower edge of the cuff is 2-3 cm above the crook of the arm (Fig. 1, Fig. 2).
• When using the unit on the left arm, the air hose runs to the unit through the middle of the crook of the arm so that the 4 cm long artery marking is automatically located centrally above the pulse position (Fig. 3).
• When using the unit on the right arm, the cuff must be rotated to the left until the artery marking is on the pulse position. The air hose then runs along the inside of the upper arm (Fig. 4).

- The cuff should be tightened to such an extent that 2 fingers can still be inserted between arm and cuff. Tip:

— Bend your arm slightly.
— The upper arm muscle is tensioned slightly.
- This slightly increases the circumference of the arm.

- Now pull the free cuff end tight and close the Velcro fastener (Fig. 5).

- Check if the measurement arrow on the cuff is inside the „marking for arm circumference" at the edge of the cuff.

Fig. 1

Fig. 2

Fig. 3

Fig. 4

Fig. 5

B

• Lay your extended and relaxed arm with the cuff on the dining table and do not move it during the measurement; do not talk. The palm of your hand should be facing upwards.
• Connect the cuff connector to the cuff socket on the left-hand side of the unit. Make sure the connector is fully inserted into the unit.

8. Measuring blood pressure

• Switch on the unit by pressing the Start/Stop button. The following display is visible.
• When the date/time function is activated these are briefly displayed prior to measurement.
  • After 5 short beeps the cuff is inflated to the required pressure.
• Then the actual measurement process starts while the cuff is being deflated. The “♥” symbol flashes in the display, and a beep sounds to denote the pulse frequency.
• A long beep denotes the end of measurement. The cuff is automatically deflated.

EN-40EN-41

Operating the unitOperating the unit

B

• The determined values of systole, diastole and pulse and the pulse pressure (PP) are shown alternately in the display.
• The unit switches off automatically after approx. 3 minutes.

132 76 65 PP 56

9. WHO traffic light function

The unit categorises the blood pressure readings according to the guidelines of the World Health Organisation (WHO). You can use the coloured fields to read the categorisation of each reading:

– Lower dot (Green) signifies normal value
- Middle dot (Yellow) signifies borderline value*
- Upper dot (Red) signifies high pressure*

WHO 2003	Systolic pressure = Upper value mmHg**	Diastolic pressure = Lower value mmHg**
Red	from 140* from 90*
Yellow	120 to 139	80 to 89
Green	below 120 below 80

* It is sufficient for one of the values to be raised.

** millimetres of mercury

The categorisation according to WHO is stored with the readings and can be called up again together with the readings from the memory.

B

10. Pulse pressure

The pulse pressure – not to be confused with the pulse beat – provides an indication of the stretchability of the blood vessels. High pulse pressure can have a negative effect on the cardiovascular system. Studies show that the cardiovascular risk increases if the pulse pressure value is consistently greater than 65 mmHg.

The heart works in two phases, the contraction phase (systole) and the relaxation phase (diastole). The pressure difference between systole and diastole is called the pulse pressure or pulse amplitude. The higher the pulse pressure, the harder the vessels.

High pulse pressure	above 65 mmHg
Increased pulse pressure	55 to 65 mmHg
Normal pulse pressure	below 55 mmHg

If your pulse pressure is permanently above 55 mmHg, consult your doctor.

11. Irregular pulse waves

If the “♥” symbol for irregular pulse waves flashes after a measurement, the unit has recorded irregular pulses during the measurement. This can be set off by an irregular heartbeat (arrhythmia), disturbances caused by movement, talking or even breathing in deeply. The symbol is stored with the respective measurement.

If the symbol appears more frequently, this may be caused by an irregular heartbeat and must be discussed with your doctor! Measurement results accompanied by flashing pulse displays should therefore be viewed as critical and repeated under more favourable conditions.

EN-42EN-43

Operating the unitOperating the unit

B

12. Using the memory

Measured results are automatically stored in the memory. The memory can store up to 60 results and the average value.

When more than 60 measured values have been stored, the oldest value (No. 60) is deleted to allow the latest value (No. 1) to be recorded. Press the Memory button to call up data. The average value of the stored results is displayed with "A", the values for systole, diastole and pulse and the pulse pressure (PP) are shown alternately in the display.

When the Memory button is pressed again, the value measured last (No. 1) appears. When the date/time function is activated, systole, diastole and pulse are displayed alternately with memory number, date and time, followed by the pulse pressure (PP) with the memory number.

Press the Memory button repeatedly to call up further measured values.

The stored data remain visible in the display for around 30 seconds. The unit then switches itself off.

B

Operating the unit

To delete individual measured values, press the Memory button repeatedly to call up the desired measured value. Press the Memory button again and hold it until the value first flashes and then is replaced by dashes.

To delete the entire memory, recall the relevant average value display (A) and press the Memory button again, holding it down until the mean value first flashes and is then replaced by dashes.

If no value is stored, dashes are shown.

EN-44

What you should know about blood pressure

C

1. Systolic and diastolic blood pressure values

The cardiovascular system has the important function of supplying all organs and tissues in the body with sufficient amounts of blood and of transporting metabolites. For this, the heart contracts and expands at a regular rate of about 60 to 80 times per minute. The pressure of the flowing blood on the artery walls caused by the heart contracting is termed systolic. The pressure in the ensuing relaxation phase, when the heart refills with blood, is termed diastolic. During daily measurement you determine both values.

2. Reasons for measuring different values

Our blood pressure responds to internal and external influences like a sensitive measuring instrument. It can be affected by even slight changes. This explains why often values measured with the doctor or pharmacist are higher than those measured at home in the environment you are used to. Changes in the weather, climate changes, or physical or psychological stress can have effects as well.

3. Why you should measure blood pressure regularly

Even the time of day has an influence on your blood pressure. During the day the values are generally higher than during the periods of rest at night. One-off and irregular measurements therefore say little about your actual blood pressure. A reliable assessment is possible only when measurements are taken regularly. Discuss the measurement values with your doctor.

EN-45

D

1. Failure and error messages

Failure encountered	Possible cause Corrective action
Display Err 1 The	systolic pressure has been determined, but the cuff pressure fell below 20 mmHg afterwards. This situation occurs if the hose has been disconnected after having measured the systolic blood pressure. Further possible causes: No pulsations could be detected.	Large leakage during measurement. If plug-and-socket connected ok, send in.
Display Err 2 Un	natural pressure pulse influence the measurement result. Reason: The arm has been moved during measurement (artefact).	Relax.
Display Err 3 Inflating	the measurement takes too much time. The cuff is positioned improperly or the hose connection is leaky.	If both are not applicable – send in. Call the Service hotline if this occurs repeatedly.
Display Err 5 The	unit detected an unacceptable difference between systolic and diastolic pressure. Plausibility check of the measurement results. Here, values such as 160/140 are questioned by the unit.	Repeat the measurement und follow the instructions thoroughly. Please consult the doctor if the measurement results continue to be unusual.
Display HI Inflation	on pressure over 300 mmHg or pulse over 200, unit can only display pulse of 40-200, possibly irregular heartbeat, irregular breathing.	Irregular heartbeats - repeat measurement after 5 minutes of rest.Respiratory arrhythmias – repeat measurement after 5 minutes of rest, no deep breaths, possibly consult doctor.

EN-46EN-47

Technical information Technical information

D

Failure encountered	Possible cause Corrective action
Display LO Pulse	below 40, unit can only display pulse between 40 and 200.	Repeat measurement after 3-5 minutes rest. Interrupted pulse tones? Listen to the peep signal attentively, possibly consult doctor.
	Irregular heartbeat, disruptive movements, shaking, wobbling (objects), breathing in deeply, etc.	Repeat measurement after 3-5 minutes rest. Possible factors (depending on the severity of the arrhythmia) affecting the measurement results must be discussed with your doctor!
Measured values too high	Was the necessary rest observed prior to measurement?	Repeat measurement after a break of approx. 3-5 mins.- Do not move arm- Do not talk
	Has the proper cuff been selected? Cuifs that are too small result in excessive blood pressure values. Measure your arm circumference in the middle of the upper arm.
Measurement values too low	Upper arm cuff too big. Please use standard cuff. Check arm circumference.
Unusual measured values	Movement or talking during measurement, resting time not observed, feet possibly crossed, smoking or coffee consumption.	Check conditions and repeat measurement. Observe instructions for use P. EN-36.
No display after unit is switched on	Batteries inserted incorrectly? Check position of batteries.
	Batteries flat? Change batteries.
	Battery compartment dirty? Clean battery compartment.
Measurement interrupted	Batteries flat? Change batteries.

D

2. Customer service

The unit may only be repaired by the manufacturer or by an expressly authorised organisation.

Please contact:

UEBE Medical GmbH

Zum Ottersberg 9

97877 Wertheim, Germany

Phone: [phone]

Fax: [phone]

E-mail: [e-mail]

Internet: www.uebe.com

1. Technical data

Unit type:	Digital automatic unit with electric pump for measuring blood pressure on upper arm
Dimensions:	L = 162 mm x W = 110 mm x H = 80 mm
Weight:	320 g not including batteries
Display:	LCD display (liquid crystal display) for measured values and control displays
Memory:	60 measured values (stored automatically) and average value (A)
Measurement procedure: Oscillometric determination of systole, diastole and pulse
Reference procedure of clinical testing:	Auscultatory measurement
Inflating pressure:	Fuzzy-logic-controlled

EN-48EN-49

Technical information Technical information

D

Pressure display range:	0-300 mmHg
Measurement range Sys	olic: 40-250 mmHgDiastolic: 30-150 mmHgPulse: 40-200 pulses/min
Error limits: Blood pressure measurement: corresponds to EN1060 Part 3, Pressure measurement: ± 3 mmHg, Pulse measurement: ± 5 %
Serial number: The unit bears a serial number SN which provides clear identification.
Power supply: Battery type: 4 x 1.5 V round cells alkali manganese(LR 6) lithium (FR 6)Durability: over 800 measurements in 2 years
Cuff: Cuff type M2 (for arm circumference 22-32 cm)Or optionally alsoCuff type L2 (for arm circumference 32-42 cm)
Operating conditions: Ambient temperature 10 to 40 °C, rel. air humidity up to 85% not condensing, air pressure 700 to 1040 hPa
Storage and transport conditions:	Ambient temperature -20 to 50 °C, rel. air humidity up to 85% not condensing, air pressure 700 to 1040 hPa
Deflation valve: Electronically controlled
Automatic switch-off: approx. 3 minutes after end of measurement
Protection class IP: IP 20: Protected against solid foreign particles with a diameter of more than 12.5 mm, no protection against water.
Expected service life: 5 years
Classification: Internal power supply by battery

D

4. Original spare parts and accessories:

The following original spare parts and accessories are available from specialist dealers:

Cuff M2 (for arm circumference 22-32 cm)

Part no. 2402501

PZN 3088490

Cuff L2 (for arm circumference 32-42 cm)

Part no. 2402502

PZN 7333408

Mains adapter type A1

Part no. 2401020

PZN 3558547

Subject to technical modifications.

Manufacturer:

UEBE Medical GmbH

Zum Ottersberg 9

97877 Wertheim, Germany

EN-50EN-51

Technical information Technical information

D

5. Metrological inspection

(previously calibration)

Basically, a metrological inspection is recommended at intervals of 2 years. However, professional users in Germany have to comply with the aforementioned according to the "Regulation for Operators of Medical Devices".

This can be implemented either by UEBE Medical GmbH, an authority responsible for metrology, or authorised maintenance services. For this, please observe your national provisions.

Upon request, responsible authorities or authorised maintenance services receive a "Test instruction for metrological inspection" from the manufacturer.

Important: No modifications, e.g. opening the unit (except to replace the batteries), may be made to this unit without the manufacturer's prior permission.

E

1. Explanation of symbols

CE 0123

This product complies with the Council Directive 93/42/EC from 5 September 2007 regarding medical devices, which became effective on 21 March 2010 and bears the mark CE 0123 (TÜV SÜD Product Service GmbH).

Degree of protection against electric shock: TYPE BF

Please observe operating instructions

Storage and transportation conditions Ambient temperature -20 to +50 °C

Protect against moisture/humidity Rel. air humidity up to 85 %

Keep dry

Manufacturer

Mains adapter specifications:

If using the optionally available mains adapter:

Equipment class II (double-insulated)

Internal fuse

For indoor use only

Internal polarity positive

EN-52EN-53

General provisions General provisions

E

2. Disposal

Batteries and technical appliances must not be disposed of with domestic waste, but should be handed in at the appropriate collection and disposal points.

F

Maintaining the unit

• The unit contains sensitive parts and must be protected against strong variations in temperature, air humidity, dust and direct sunlight.
• The unit is neither impact-resistant nor shock-proof. We recommend that you have the intactness and accuracy of the display checked after heavier falls or impacts.
  • The unit is not water-proof.
• If the unit becomes dirty during use, use a soft, dry cloth to clean the unit. Do not use benzene, thinners or other strong solvents.
• Do not scrub or machine-wash the cuff. If the cuff gets dirty during use, use a synthetic cleaner and softly rub the surface.
• If the unit has been opened, it must be subjected to a metrological inspection conducted by an authorised organisation.
  • Make sure that liquid cannot get into the air hose. Dry thoroughly.

EN-54

Warranty

G

Warranty furnished

The device has been manufactured and tested with great care. However, in the unlikely event of a defect being detected after delivery, we provide warranty in accordance with the following terms and conditions:

1. During the warranty period of 3 years from the date of purchase we reserve the right either to repair any such defect at our expense or to supply a perfect replacement unit. The cost of returning the unit to our factory shall be borne by the sender. UEBE shall refuse to accept return deliveries that have not been paid for by the sender.
2. Excluded from the warranty are parts subject to normal wear and tear as well as damage caused by non-compliance with the instructions for use, improper handling (e.g. unsuitable power sources, breakages, leaking batteries) and/or disassembly of the unit by the purchaser. Furthermore, no claims for damages against us are substantiated by the warranty.
3. Warranty claims can only be advanced in the warranty period and by presenting proof of purchase. In the event of a warranty claim, the unit must be sent to the following address together with the proof of purchase and a description of the complaint:

UEBE Medical GmbH

Service-Center

Zum Ottersberg 9

97877 Wertheim

Germany

The cost of returning the unit to our factory shall be borne by the sender. UEBE shall refuse to accept return deliveries that have not been paid for by the sender.

1. In the case of defectiveness of the goods, the statutory rights of the purchaser to claim against the seller in accordance with § 437 German Civil Code are not limited by the warranty.

Please note: In the event of a warranty claim it is essential to attach the proof of purchase.

EN-55

Sommaire Introduction

© Copyright 2013 UEBE Medical GmbH